<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml"
      xmlns:og="http://ogp.me/ns#"
      xmlns:fb="https://www.facebook.com/2008/fbml">  
<head>
	<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1" />
	<link rel="stylesheet" type="text/css" href="css/style.css"/>

</head>



<body class="blue_bg">
	<div id="wrapper">
    	<div id="header">
        	<div class="header_top">
            	<div class="main_search">
                	<input type="text" class="placeholder" value="Search..."/>
               	 	<input type="submit" value="" />
                </div>
                <div class="multi_control">
                	<div class="share-facebook">
                    	<a href="#"><img src="images/icon-facebook.png"></a>
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                    <div class="language">
                    	<a href="#" id="language">English</a>
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            <div class="logo">
            	<a href="#">
                	<img src="images/logoWhite.png" />
                </a>
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        </div>
        <div id="contain">
        	<div id="col_left">
            	<div class="menu">
                	<ul>
                    	<li><a href="#">products</a></li>
                        <li><a href="#">news</a></li>
                        <li><a href="#">about us</a></li>
                        <li><a href="#">product care</a></li>
                        <li><a href="#">user product info</a></li>
                        <li><a href="#">your order</a></li>
                        <li><a href="#">contact us</a></li>
                        <li class="separator"></li>
                        <li><a href="#">customer login</a></li>
                        <li><a href="#">wholesaler login</a></li>
                    </ul>
                </div>
                <div class="btn_register">
                	<a href="#"><img src="images/icon-register.png" /></a>
                </div>
                
            </div>
            <div id="col_right">
            	<div class="customer width_600">
                	<div class="head_title">CUSTOMER REGISTRATION</div>
              		<p class="info">After making changes to your Profile Information make sure you 
                    click on the save changes button at the bottom or your changes 
                    will not be recorded. To go back to your Clients Page page without 
                    saving changes simply click on the Cancel button or click the back 
                    button in your browser window.</p>
                     <br/><br/>  <br/>
                </div> 
                <div class="frm_register">
                    <form action="" name="frm-login">
	                    <div class="left">
                            <div class="dev">
                                <label>Name*</label>
                                <input type="text" class="txt_box" name="username" />
                                <p class="frm_error">Value can't empty</p>
                            </div>
                            <div class="dev">
                                <label>Company*</label>
                                <input type="text" class="txt_box" name="username" />
                                <p class="frm_error">Value can't empty</p>
                            </div>
                            <div class="dev">
                                <label>City*</label>
                                <input type="text" class="txt_box" name="username" />
                            </div>
                            <div class="dev">
                                <label>Potal code*</label>
                                <input type="text" class="txt_box" name="username" />
                            </div>
                            <div class="dev">
                                <label>Country*</label>
                                <input type="text" class="txt_box" name="username" />
                                <p class="frm_error">Value can't empty</p>
                            </div>
                    	</div>
                        <div class="right">
                            
                            <div class="dev">
                                <label>Phone Number*</label>
                                <input type="text" class="txt_box" name="username" />
                                <p class="frm_error">Value can't empty</p>
                            </div>
                            <div class="dev">
                                <label>Cell Number</label>
                                <input type="text" class="txt_box" name="username" />
                            </div>
                            <div class="dev">
                                <label>Additional Phone Number</label>
                                <input type="text" class="txt_box" name="username" />
                            </div>
                            <div class="dev">
                                <label>Fax Number</label>
                                <input type="text" class="txt_box" name="username" />
                            </div>
                            <div class="dev">
                                <label>Email Address*</label>
                                <input type="text" class="txt_box" name="username" />
                            </div>
                             <div class="dev">
                                <label>Password*</label>
                                <input type="text" class="txt_box" name="username" />
                            </div>
                            <div class="dev">
                                <label>Re-password*</label>
                                <input type="text" class="txt_box" name="username" />
                            </div>
                            <div class="dev">
                                <input type="submit" value="LOGIN" />
                            </div>
                    	</div>
                	</form>
                </div>
            </div>
            <div class="clr"></div>
        </div>
    </div>
</body>
</html>
